Inspection on 02/11/06 for The Conifers Nursing Home

This inspection was carried out on 2nd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Conifers Nursing Home 03/02/09

The Conifers Nursing Home 14/03/08

The Conifers Nursing Home 03/11/05

The Conifers Nursing Home 31/05/05

The Conifers Nursing Home 15/03/05

The Conifers Nursing Home 05/10/04

The Conifers Nursing Home 23/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Conifers Nursing Home Brampton Road Wombwell Barnsley South Yorkshire S73 0SS Lead Inspector Mrs Jayne Barnett-Middleton. Key Unannounced Inspection 2nd November 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Conifers Nursing Home Address Brampton Road Wombwell Barnsley South Yorkshire S73 0SS 01226 751007 01226 751007 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Dominic Manfredi Mr Anthony Constantine Manfredi, Mr Anthony John Manfredi, Mr Ian Hyde Mrs Carole Law Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons accommodated shall be aged 60 years and above. Two specified service users under the age of 60 may live at the home. Date of last inspection 3rd November 2005 Brief Description of the Service: The Conifers offers accommodation for a maximum of 33 residents, requiring nursing or personal care. The home is situated within access to local amenities and is very close to a bus stop. It is sited between Rotherham and Barnsley. Resident’s accommodation is on two floors; the upper floor can be accessed using the lift. The building is modern in appearance and has a patio area for residents. There is ample car parking facilities. The fees for the care offered at the home at 02/11/06 are £315 to £449.25 per week. Services not covered by the fee include hairdressing and private chiropody. The homes statement of purpose and service user guide is available in appropriate formats. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the visit contacts made to The Commission For Social Care Inspection, the homes service history and a pre-inspection questionnaire were examined. Letter surveys were sent to ten residents and to three general practitioners. A fieldwork visit took place from 10.30am until 18.00pm. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans, training records and staff recruitment files. The inspector spoke informally to most staff and in detail to the five of the staff on duty about their knowledge, skills and experiences of working at the home and to seven of the residents about their views on aspects of living at the home. The inspector wishes to thank the manager, staff and residents for their assistance and time throughout the inspection process What the service does well: The Comission For Social Care newsletter received positive comments from residents about the service that they received in April this year. Comments included The service is excellent and carers are good and very helpful and “ The laundry services are excellent”. Residents spoken to said that they were satisfied with the choice and quality of food offered commenting “ its very good, first class”, “ We can have what we want” and “a good selection, there is always plenty”. In general the residents spoke highly of the staff team and the service that they received describing them as “helpful”, “very good” and “the staff are good to me, they help me in lots of ways”. Two members of staff, who had recently commenced employment at the home, confirmed that they had settled into their role very well and that they were receiving a good level of support from the manager and staff. The routines within the home were varied and flexible which met the residents’ individual needs. Residents said that they could spend their day as they wished. The staff confirmed that there were “ no set times” and described how they supported residents to make choices about the routine of their daily living The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Daily records did require some improvement, to ensure that the health and wellbeing of the resident could be fully monitored. Prescribed ointment was found in a bathroom, which potentially compromised the safety of the residents. Policies and procedures are in place to protect residents from abuse, however some staff need to complete adult protection training to ensure that the residents are fully protected. Some areas are in need of redecoration and floor coverings in need of replacement, or a deep clean, to fully promote a well-maintained and clean environment. The homes recruitment procedures require improvement to ensure that the residents are fully protected. In general the homes policies and procedures promoted the health, safety and welfare of residents and staff. However health and safety practices need improving to increase the level of safety for staff and residents. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 5. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents’ individual needs were assessed prior to their admission and reflected in their plan of care. The homes Statement of Purpose had been reviewed since the last visit. Prospective residents were welcome to visit the home prior to their admission, to help them decide if it was the right place for them to live. EVIDENCE: The manager said that the homes Statement of Purpose had been reviewed to include environmental information about the home. Three resident care files seen contained an admission assessment that had been completed prior to the residents’ admission. This confirmed that the service was able to meet the needs of the resident, and provided staff with the information to formulate an individual plan of care. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 10 Three residents, via the survey, said that they had received enough information about the home prior to their admission. Several residents spoken to during the visit said that they had been invited to visit the home to look round and meet the staff before they made a final decision about living there. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8.9 and 10. Quality in this outcome area is Adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Residents’ assessed needs were reflected in their plan of care. Daily records did require some improvement, to ensure that the health and wellbeing of the resident could be fully monitored. Residents felt that they were treated with respect and that their dignity was maintained. In general the procedures in place for the storage, recording and administration of medication was good and systems in place promoted the safety and welfare of the residents. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 12 EVIDENCE: Three care plans were checked which detailed the residents individual physical, social and emotional needs. Where able to residents or their relatives had been involved in their plan of care, enabling them to agree with the staff that it was a true reflection of their care needs. The staff maintained daily records of the care that they had provided to the resident. However, these needed to provide more detail in relation to the residents’ wellbeing. For example one resident said that they had not had a good nights sleep due to being disturbed by another resident and that they had told the staff about this. However, the night record made by the night staff did state that the resident had ‘slept well’. Monthly evaluations were carried out by the care staff, which were detailed and demonstrated that the residents changing needs were reflected in their plan of care. Risk assessments had been devised which identified the individual risks that were presented to residents for example mobility and pressure sores. Nutritional screening was undertaken for residents on their admission, which identified any dietary requirements and any eating difficulties. One residents care file seen did identify on their admission that they were underweight and their care plan did acknowledge that supplement drinks or a referral to a dietician should be considered. The weight monitoring weight record seen did demonstrate that the resident had been weighed monthly and that they had gradually gained weight since admission to the home. However, the care plan did require more information to detail any medical advice that had been sought and why a referral to a dietician had not been made. Residents spoken to during the visit said that their healthcare needs were met and spoke of the healthcare professionals that visited them for example their physiotherapist. One resident commented “ the staff will organise a doctor if you need one”. Three residents, via the survey said that they usually or always received the support and medical care that they needed. Three general practitioners, via the survey, said that the staff worked in partnership with them and that the staff demonstrated a good understanding of the residents needs. Residents were observed to be cared for in a manner that respected their privacy and dignity. Residents seen were clean, appropriately dressed and it was evident that residents who required help to wash and dress had been assisted with this in a manner that respected their dignity. The staff was able to demonstrate how they respected residents privacy and dignity for example by knocking on residents bedroom doors, prior to entering and how they reassured residents when offering personal care. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 13 Medication was checked on a sample basis. The manager said that only the nursing staff administered medication. In general the procedure for the receipt, storage and administration of medication was good. Medication records seen were well maintained and all medication administered had been signed for. One residents care plan identified that the resident was allergic to penicillin. The medication record seen clearly recorded this information. Prescribed ointment was found in a bathroom, which potentially compromised the safety of the residents. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The routines within the home were varied and flexible which met the residents’ individual needs, promoting their choice and independence. There was a programme of leisure and social activities available for residents who wished to participate. Residents were encouraged to maintain contact with their family, friends and the local community as they wished, enabling them to continue to be included in community and family life. The mealtimes observed were relaxed and unhurried. A good choice of menu was offered and special dietary needs were catered for, promoting the resident’s health and wellbeing. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 15 EVIDENCE: Residents confirmed that they could spend the day as they wished and said that the routines within the home did not restrict their preferred routine. One resident described how they liked to spend their day commenting, “ I can please myself”. During the visit residents was either sitting in the lounge areas socialising with other residents, reading and watching television or spending time within the privacy of their bedroom. The staff confirmed that there were “ no set times” and described how they supported residents to make choices about the routine of their daily living for example when they wished to get up, go to bed and how they preferred to spend their day. A range of activities was available, for residents who wished to particiapte, including dominoes, sing a longs, professional entertainment, shopping and dining out. Three residents via the survey said that there was always or usually enough activities available. Two residents, who were relatively independent, said that they often enjoyed visiting the local ammenities. Residents spoken to said that their family and friends were welcome to visit them at anytime. Two relatives said that they visited the home frequently and that the staff team were always welcoming. The lunchtime meal was observed which was relaxed and unhurried. The cook confirmed that she was in the process of reviewing the current menus based on residents’ likes, dislikes and dietary needs. Residents were offered a choice of menu. The cook said that alternatives would be offered if the resident requested commenting, “ The residents can have what they want”. Three residents surveyed said that they always enjoyed the meals provided. Residents spoken to said that they were satisfied with the choice and quality of food offered commenting “ its very good, first class”, “ We can have what we want” and “a good selection, there is always plenty”. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is Adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Residents were aware how to complain and thought that their complaints would be listened to and dealt with. Policies and procedures were in place to protect residents from abuse, however some staff need to complete adult protection training. EVIDENCE: The homes complaints procedure in place described the procedure for residents should they have any concerns, who would deal with their concern and how soon they could expect a response. The manager maintained a log of any complaints made to the home and the action taken to resolve the complaint. Since the last visit one complaint had been made to the home. Four residents, via the survey, said that they knew who to talk to should they be unhappy about any aspect of their care. In general residents spoken to during the visit said that they had no complaints with one commenting, “ I can say what I want and the staff will listen”. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 17 Recent incidents at the home have resulted in an Adult Protection enquiry, which has been resolved to a satisfactory conclusion. The manager confirmed that outcomes from the enquiry had been carried out. The homes policies and procedures for bruising, injuries and notification had been reviewed and reiterated to staff during supervision. The manager and staff confirmed that recently recruited staff was in need of Adult Protection training and that she was in the process of organising this. The staff spoken to during the visit, including the new staff was aware of the action to take to protect the residents. The staff were confident that any concerns would always be acted upon by the manager. However, in general, they were unclear of the outside agencies that they could contact should they feel that their concerns were not listened to. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is Adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The home was clean, comfortable and generally well maintained. The dining area is in need of redecoration and floor coverings in need of replacement or a deep clean to fully promote a well-maintained and clean environment. The premises were generally clean and free from offensive odours. Systems were in place to promote a hygienic environment and control the risk of infection. EVIDENCE: In general the home was well maintained. The building was clean, free from offensive odours and residents had access to all parts of the home. Several bedrooms were seen all of which were tidy, appropriately furnished and had been personalised by the resident. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 19 The carpets on the downstairs corridor and the dining room were in need of either a deep clean or replacement as they were stained. The manager said that the carpets were cleaned regularly. However, due to the colour of the carpet and the number of residents using wheelchairs it was difficult to maintain them to a good standard. A previous requirement to re-decorate the dining area and replace dining room furniture had not been met. There were plans however to redecorate the dining room in December 06. Since the last visit some bedroom furniture had been replaced which was of a good standard. Areas seen during the visit, with the exception of the carpets, were clean and odour free presenting a hygienic environment. Residents, via the survey, said that the home was ‘ always’ clean and fresh. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is Adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The ratio of staff provided was sufficient to meet the needs of the residents. A training and induction programme is available which provides staff with the appropriate training enabling them to meet the resident’s general and specific needs. 50 of staff held a National Vocational Qualification Level 2 or 3 in care, enabling them to develop their knowledge and promote good care practices. The homes recruitment procedures required improvement to ensure that the residents are fully protected. EVIDENCE: Rotas checked, prior to the visit, demonstrated that the minimum staffing levels were being met. Residents, via the survey, said that usually there was staff available when they needed them. Residents spoken to during the visit said that there was enough staff on duty to look after them. One resident commented, “ If I press my buzzer, they (the staff) will attend.” In general the residents spoke highly of the staff team and the service that they received describing them as “helpful”, “very good” and “the staff are good to me, they help me in lots of ways”. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 21 The staff spoken to said that they had received a good range of training including moving and handling, Palliative Care and Health and Safety. Two members of staff, who had recently commenced employment at the home, confirmed that they were receiving a good level of support from the manager and staff and that they had received instruction in good care practices, which enabled them to care for residents appropriately and safely. The manager, via the pre-inspection questionnaire, said that 50 of staff held a National Vocational Qualification Level 2 or 3 in care, and that a further four staff were completing the award. Three staff files were checked which were for staff who had recently commenced employment at the home. The files seen contained the application form and two references. However, two files did not include two forms of identification or a recent photograph of the employee. One file seen identified that the member of staff had commenced employment at the home prior to a satisfactory Criminal Records Bureau check being received. A risk assessment had been carried out which restricted the member of staff from working unsupervised and a reference from their previous employer obtained. However, a POVA first check should have been carried out prior to them commencing employment at the home to fully promote the protection of the residents. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents and staff felt supported by the manager and were confident in her abilities to manage the home. Meetings were held, which gave residents and staff the opportunity to contribute to the development of the service. In general the homes policies and procedures promoted the health, safety and welfare of residents and staff. However health and safety practices need improving to increase the level of safety for staff and residents. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 23 EVIDENCE: The manager is a qualified nurse and has almost completed a National Vocational Qualification level 4 in Management. Residents and staff said that they felt supported by the manager describing her as “good” and “approachable”. The results of a survey conducted in November 05 had been collated and the outcome of the survey was displayed within the entrance of the home. The manager said that she did intend to conduct a further survey within the near future. Resident meetings were held every two months. Meeting minutes seen evidenced that residents were asked about their opinion about the meals provided, the cleanliness of the home and to suggest ideas for activities that they may like to do. The Registered Provider visits the home on a regular basis to carry out monitoring of the service. Copies of the reports were available within the main office at the home. Information provided prior to the visit demonstrated that all major systems and equipment, including gas appliances, had been routinely serviced to promote a safe environment. In general areas seen during the inspection appeared safe and accessible to residents. One lounge door was being wedged open. During the visit one resident said that their nurse call was not working. When checked the nurse call was not working and this was passed to the manager to organise its repair. Fire alarm checks were being carried out on a monthly basis, but these need to be carried out on a weekly basis to ensure that the emergency lighting and fire doors are working effectively. Records seen in relation to fire drills evidenced that all staff, including night staff, had received a fire drill regularly, to ensure that they were conversant with the action and procedures to follow in the event of a fire. The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Yes. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Daily records must be more detailed to ensure that the health and wellbeing of the resident can be fully monitored. Timescale for action 30/12/06 2 OP8 15 3 4 5 6 OP9 OP18 OP18 OP19 13 13 13 23 Care plans must include all 30/12/06 information relevant to residents’ needs. Nutritional assessments must include more detail to detail any medical advice that had been sought. Medicines, including prescribed 02/11/06 ointment, must be securely stored. All staff must receive adult 01/01/07 protection training. The manager must ensure that all staff are aware of the ‘whistle blowing’ procedure. The dining room must be redecorated (Previous timescale of 03/02/06 not met). The dining room furniture must be replaced. (Previous timescale of 03/02/06 not met) The corridor and dining room DS0000006477.V294173.R01.S.doc 30/12/06 31/01/07 7 OP19 23 01/03/07 8 OP19 23 01/02/07 Page 26 The Conifers Nursing Home Version 5.1 9 OP29 19 10 OP29 19 11 OP38 13 carpets must be cleaned or replaced. Staff files must include: A recent photograph of the employee and two forms of identification. Staff must not commence employment at the home until a satisfactory Enhanced CRB disclosure and POVA 1st check has been carried out. The fire alarm must be tested weekly and records must be kept. (Previous timescale of 31/05/05 not met). The practice of wedging fire doors open must cease (Previous timescale of 15/03/05 not met). The nurse call in the identified bedroom must be repaired. 01/02/07 02/11/06 31/12/06 12 13 OP38 OP38 13 13 31/12/06 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Conifers Nursing Home DS0000006477.V294173.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!